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A Legal First That Could Change Gender Medicine
A first-of-its-kind medical malpractice verdict was just handed down in New York. It is only just the beginning. (Illustration by The Free Press; images via Getty)
At 16, Fox Varian got a mastectomy while undergoing a gender transition. She sued her psychologist and plastic surgeon for leaving her ‘disfigured for life.’ Benjamin Ryan reports from the courtroom.
By Benjamin Ryan
02.02.26 — Sex and Gender
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Fox Varian had a turbulent childhood. Her parents split when she was seven, triggering a three-year custody battle that ultimately saw her estranged from her father. She suffered from a constellation of mental health problems, including depression, anxiety, and social phobia. She was diagnosed with autism and bounced around various schools. Her first period sent her into a meltdown, and she battled disordered eating and body-image issues. By mid-adolescence, she was completely lost.

At 15, she began questioning her gender during sessions with her psychologist. She changed her birth name, Isabella, to Gabriel, which she saw as androgynous. Over the next two months, she cut her hair short, began binding her breasts, switched her name again, to Rowan, and started telling people she was transgender.

In December 2019, 11 months after she started this public social transition, Varian underwent surgery to remove her breasts. She was 16 years old.

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Benjamin Ryan
Benjamin Ryan is an independent reporter who specializes in health and science reporting, in particular as those subjects intersect with law and public policy. He contributes regularly to The New York Times, NBC News, and The New York Sun and has also written for The Atlantic, The Washington Post, UnHerd, and The Guardian, among many others. A native of Seattle, he attended Columbia University and lives in New York City.
Tags:
LGBT
Gender
Medicine
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